GERALDINE V FONVILLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043013578

License Status

NOT RENEWED

Business

First Name

GERALDINE V

Last Name

FONVILLE

Business Name

GERALDINE V FONVILLE

Original Issue Date

06/25/1965

Expiration Date

01/31/1991

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/21/2005